Re: GENERAL: Tubal Ligation Reversal

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Althea: You have several good questions but the questions are not as easily answered as you might think. Getting pregnant depends on multiple issues; most importantly age. Even with successful reversal of the tubes, an older women may not be able to get pregnant. Fertility of the male (as well as other factors) is also important.

Let me answer the questions in order from the perspective of a successful operation (tubes open after the procedure).

1) If the tubes were tied in the middle portion (isthmus of the tube) than the success rate is approximately 70 - 90%.

2) Chance of a pregnancy developing in the tube (called an ectopic pregnancy) is low and at worse 5 - 8%. Most likely, less. The exact causes of ectopic pregnancies are uncertain but are clearly related to the previous surgery and most likely scarring form that surgery. Once an ectopic pregnancy develops, that pregnancy is lost and cannot be saved.

3) The chance of a pregnancy after tubal reversal going into the uterus is opposite #2, ie 92 - 95%. Don't forget that some of these pregnancies (12-15% in general, higher in older women) will be lost as a miscarriage.

--
Ben Gocial, MD, Northern Fertility
Philadelphia, PA

  Note: Opinions expressed here are for educational purposes
       only and, as such, do not constitute a physician-patient
       relationship.  This information is not intended to supplant
       the need for you to consult with your physician prior to
       choosing therapeutic options and/or interventions.
 ** Private emails cannot be entertained due to time
       constraints; consequently, they will receive no response.

At Mon,  6 Oct 2008, Althea  wrote:
>
>Hi i have a question in reference to tubal ligation.
>
>1) What are the odds of a successful pregnancy after a tubal reversal?
>2) What are the odds of the fetus growing in the fallopian tubes and
>what causes this and can it be corrected?
>3) What are the odds that after a tubal reversal the success rate of the
>fetus landing in the uterine?
>
>--
>Althea
>

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